E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Abdominally obese patients with metabolic syndrome |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10029883 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the effect of rimonabant on visceral fat area over a period of 12 months when prescribed with a moderate hypocaloric diet in abdominally obese patients with metabolic syndrome |
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E.2.2 | Secondary objectives of the trial |
To assess the effect of rimonabant over a period of 12 months on: - Liver fat content using CT scan - Anthropometric measures (weight, waist circumference, body composition using Dual Energy X-ray Absorptiometry (DEXA)) - Lipid, lipoprotein profile - Glycemia, insulinemia and HbA1c - Adipokines, inflammatory and hemostatic markers ·
To evaluate the percentage of patients with metabolic syndrome at 12 months· To evaluate the safety and tolerability of rimonabant in these patients. |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Male or female patients aged >or=35 years and < 70 years old. 2. Waist circumference > 102 cm in men and > 88 cm in women 3. Two other components of the metabolic syndrome (NCEP/ATPIII definition) among the following :
a. Triglyceridemia >or= 150 mg/dl (or 1.69 mmol/L) b. HDL cholesterol < 50mg/dL (or 1.29 mmol/L) in women or < 40mg/dL (or 1.04 mmol/L) in men c. Blood pressure >or= 130/85 mmHg (systolic blood pressure > 130 mmHg and/or diastolic blood pressure > 85 mmHg) or Treatment with antihypertensive agent(s) for this condition d. Fasting blood glucose > 110 mg/dl (or 6.1 mmol/L)
4. Written informed consent |
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E.4 | Principal exclusion criteria |
Related to general subjects characteristics / concomitant diseases:
1. Pregnant or breast-feeding women, or women planning to become pregnant or breastfeed 2. Absence of medically approved contraceptive methods for female of childbearing potential 3. History of very low-calorie diet within 3 months prior to screening visit 4. History of surgical procedures for weight loss (eg, stomach stapling, bypass). 5. Presence of any clinically significant endocrine disease according to the investigator. 6. Weight change > 5 kg within 3 months prior to screening visit 7. Morbid obese patients (BMI > 40 kg/m2) 8. Established type 1 or 2 diabetes (treated or untreated): at least 2 measures of fasting blood glucose > 126 mg/dl 9. Severe renal dysfunction (creatinine clearance < 30 ml/min) or nephrotic syndrome 10. Chronic hepatitis or clinically significant hepatic disease 11. Positive test for hepatitis B or C 12. Marijuana or hashish users 13. Significant haematology abnormalities (haemoglobin < 100 g/L and/or neutrophils < 1.5 G/L and/or platelets < 100 G/L). 14. Inability to follow verbal and written instructions 15. Presence of any severe medical or psychological condition, that in the opinion of the Investigator would compromise the subject’s safety compliance to the protocol or successful participation in the study 16. Presence or history of cancer within the past 5 years with the exception of adequately treated basal cell skin cancer or in situ uterine cervical cancer 17. Ongoing severe depression that can be defined as depression which necessitated the patient to be hospitalised, or patient with 2 or more recurrent episodes of depression or an history of suicide attempt 18. Presence or history of bulimia or anorexia nervosa (DSM-IV criteria) or bing eating disorders 19. Presence of any other condition (eg geographical, social…) current or anticipated that the Investigator feels that would restrict or limit the subject’s participation for the duration of the study
Related to previous or concomitant drugs that could interfere with the evaluation of study drug effects:
20. Administration of any investigational treatment (drug or device) within 30 days prior to screening 21. Previous participation in a rimonabant study 22. Administration of any of the following within 3 months prior to screening visit: - anti obesity drugs (eg, sibutramine, orlistat) - other drugs for weight reduction (phentermine, amphetamines) - herbal preparations for weight reduction - thyroid preparations or thyroxin treatment (except in patients on replacement therapy on a stable dose) 23. Patient treated within the last 3 months with nicotinic acid, fibrates or bile acid sequestrants (patients treated with statins can be included if the dose received is stable since at least 3 months and will not be modified during the whole study period). 24. Patient treated with antidiabetic drug(s). 25. Prolonged use (more than one week) within the last 3 months of systemic corticosteroids, neuroleptics, or antidepressants (including bupropion).
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary criterion: Relative change from baseline to Month 12 in visceral fat area assessed by CT scan (slice L4-L5) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 9 |